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MOHAMAD AHMAD BAZZI
NPI 1255135653
Student in an Organized Health Care Education/Training Program in Dearborn, MI

Active since April 03, 2025PECOS Enrolled
5250 AUTO CLUB DR, DEARBORN, MI 48126(313) 522-7550 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Apr 3, 2025 (2 updates tracked since 2025).

About Mohamad Ahmad Bazzi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMAD AHMAD BAZZI (NPI 1255135653) is an individual student in an organized health care education/training program in Dearborn, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255135653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMAD AHMAD BAZZI
Location Address5250 AUTO CLUB DRDearborn, MI 48126-2619
Mailing Address5250 Auto Club DrDearborn, MI 48126-2619
Phone(313) 522-7550
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1255135653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5250 AUTO CLUB DR, Dearborn, MI 48126
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamad Ahmad Bazzi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMED SAWAH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5250 AUTO CLUB DR, SUITE 200
DEARBORN, MI 48126
Wayne County (313) 914-5591
NESRINE AKIL R.D
Dietitian, Registered
5250 AUTO CLUB DR, STE 200
DEARBORN, MI 48126
Wayne County (313) 914-5591
BINSON'S HOSPITAL SUPPLIES, INC.
Durable Medical Equipment & Medical Supplies
5250 AUTO CLUB DR, SUITE 130
DEARBORN, MI 48126
Wayne County (313) 789-7708
DR. ABDULLAH MALLISHO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5250 AUTO CLUB DR, STE 200
DEARBORN, MI 48126
Wayne County (313) 914-5591
MAHA ALHUSSEINI M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5250 AUTO CLUB DR, STE 200
DEARBORN, MI 48126
Wayne County (313) 914-5591
TALA DARWICH
Nurse Practitioner (Family)
5250 AUTO CLUB DR
DEARBORN, MI 48126
Wayne County (313) 203-5300
DR. ALI H. NASRALLAH OD
Optometrist
5250 AUTO CLUB DR
DEARBORN, MI 48126
Wayne County (313) 581-3888
DR. OPADA ALZOHAILI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5250 AUTO CLUB DR, STE 200
DEARBORN, MI 48126
Wayne County (313) 914-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamad Bazzi's NPI number?

The NPI number for Mohamad Bazzi is 1255135653. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Mohamad Bazzi located?

Mohamad Bazzi practices at 5250 Auto Club Dr, Dearborn, MI 48126. The listed phone number is (313) 522-7550.

What is Mohamad Bazzi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohamad Bazzi enrolled in Medicare?

Yes. Mohamad Bazzi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamad Bazzi was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.